HCPCS J9120

Injection, dactinomycin, 0.5 mg

HCPCS Code: J9120: The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS J9120 identifies the type of service or supply used while any of the 8 NDC codes below could be used to specify the exact drug used.
Short Description: Dactinomycin injection
Long Description: Injection, dactinomycin, 0.5 mg
Pricing Indicator: Drugs
Multiple Pricing Indicator: Not applicable as HCPCS priced under one methodology
Coverage Description: Special coverage instructions apply
BETOS Type of Service: Chemotherapy
Medicare Payment Limit: $302.92
Medicare Co-Insurance Percentage: 20.000%
HCPCS Classification: List of HCPCS codes for: Drugs Administered Other Than Oral Method, Chemotherapy Drugs (J-codes)

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC	Proprietary Name	Non-Proprietary Name	Dosage Form	Route Name	Company Name	Status
39822-2100	Dactinomycin	Dactinomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Xgen Pharmaceuticals Djb, Inc.	ACTIVE
42658-008	Dactinomycin	Dactinomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Hisun Pharmaceuticals Usa, Inc.	ACTIVE
55150-431	Dactinomycin	Dactinomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Eugia Us Llc	ACTIVE
55150-928	Dactinomycin	Dactinomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Eugia Us Llc	ACTIVE
55292-811	Cosmegen				Recordati Rare Diseases, Inc.
67457-513	Dactinomycin				Mylan Institutional Llc
67457-928	Dactinomycin				Mylan Institutional Llc
71288-129	Dactinomycin	Dactinomycin	Injection, Powder, Lyophilized, For Solution	Intravenous	Meitheal Pharmaceuticals Inc.	ACTIVE